This is an online E-log book to discuss our patient’s de-identified health data shared after taking his/her/guardian’s signed informed consent. Here we discuss our individual patient’s problems through a series of inputs available global online community of experts with the aim to solve the patient’s clinical problems with the collective current best evidence based inputs. This E log reflects my patient centred online learning portfolio and your valuable inputs in the comments section.


Chief complaint :

Recurrent UTI since April 2022

Burning micturition accompanied by fever with chills and vomiting 

Left flank pain 


History of present illness :

Patient was apparently asymptomatic 3days ago when she developed UTI along with radiating left flank pain accompanied by burning micturition with frothy urine.

The patient has been experiencing recurrent vomiting accompanied by UTI on having solid food and liquid food.

She was experiencing burning micturition with frothy urine and greenish tinge to urine without gross hematuria.

The patient is experiencing continuous fever accompanied by chills which subsided on taking medication.

History of past illness :


1. HTN since 11 years for which medications were used (TAXIM 40mg, AMLODIPINE 5mg)

2. DM since 10years, for which medication was used (insulin injections)

3. Known case of hypothyroidism since 6 years for which medication was used (THYRONORM 25mcg)

4. History of recurrent UTI since past 6 months.

5. UTI accompanied by fever chills and burning micturition, with radiating flank pain nad vomiting.

Personal history :

Appetite - normal 

Sleep - normal 

Bowel movements - Normal

Micturition - burning micturition 

Diet - mixed diet 

Drugs :

Insulin BD - 15 units in the morning, 20 units at night

Taxim 40 mg 

Amlodipine 5 mg since last 2 months

Thyronorm 25mcg


Diagnosis : 

Early pyelonephritis with hydronephrosis


Treatment :

Inj PIPTAZ 2.25 mg

Inj PAN 40

Inj HAI S/C

Inj INSULIN

Tab Thyronorm 25 mcg

GRBS monitors 6 hrly

Inj OPTINEURON 

Fever chart



Lab report :

Serum electrolyte 


Hemogram


Blood sugar fasting 


ABG


Urinary ketones 


LFT






















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